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CYPRESS LAKE EYE CARE LLC

Company Details

Entity Name: CYPRESS LAKE EYE CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Apr 2019 (6 years ago)
Document Number: L19000114609
FEI/EIN Number 83-4554090
Address: 7171 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33966, US
Mail Address: 7688 CYPRESS WALK DRIVE, FORT MYERS, FL, 33966
ZIP code: 33966
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669036430 2019-04-27 2019-04-27 7688 CYPRESS WALK DR, FORT MYERS, FL, 339665805, US 7171 CYPRESS LAKE DR, FORT MYERS, FL, 339076521, US

Contacts

Phone +1 616-610-1685
Phone +1 239-415-3806

Authorized person

Name ANDREW JOHN VANEENENAAM
Role OPTOMETRIST
Phone 6166101685

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
VANEENENAAM ANDREW J Agent 7688 CYPRESS WALK DRIVE, FORT MYERS, FL, 33966

Managing Member

Name Role Address
VANEENENAAM ANDREW J Managing Member 7688 CYPRESS WALK DRIVE, FORT MYERS, FL, 33966

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-06
Florida Limited Liability 2019-04-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State